This episode begins with a wounded Dexter wandering around an empty warehouse. He calls 911 and tells them that he's been stabbed and asks for help. It turns out that he is not critically injured and he called 911 to lure out some EMTs who have been letting innocent people die for their profit. Dexter ends up killing them with defibrillators.
Angel's sister Jamie become Harrison's new nanny. Dexter and Deb go interview at a Catholic school where they're trying to enlist Harrison in. Dexter reveals that he is not Catholic and that he doesn't believe in anything. At Miami Metro, Laguerta is promoted to Captain. She seems awfully chummy with Chief Matthews. It turns out that Laguerta saw a photo of Matthews in a book of clients for a prostitute, and used that to blackmail him into giving her the position. Laguerta recommends Angel take over her job. It seems like the two have gotten a divorce.
Dexter attends his 20 year high school reunion, simply to kill a popular guy from his high school who was accused of killing his wife. Dexter plays some touch football with this guy before killing him. Meanwhile, Travis Marshall (played by Colin Hanks), and Professor Gellar (played by Edward James Olmos) are out on a boat looking for a pregnant snake. They sneak up behind some guy selling fruit and find that this man has baby snakes sewn to his stomach.
Debra is at a restaurant with Quinn. It is clear that Quinn is about to propose. While Quinn is in the restroom, an armed man comes in and starts shooting. Debra saves the day. Dexter returns to the school and tells the admissions woman that he wants Harrison to be exposed to God and that stuff. The woman says she'll do her best to find a spot for him.